Effective Preventive Care Is Essential for Persons Living with HIV

Traditional risk factors are responsible for a substantial fraction of noncommunicable disease in persons with HIV.

Persons living with HIV are at greater risk for many noncommunicable diseases (NCDs) compared with adults without HIV. Using data from NA-ACCORD, a large collaborative of North American clinical HIV cohorts, investigators quantified the contribution of traditional and HIV-related risk factors to the development of four significant NCDs: non–AIDS-defining cancer, myocardial infarction (MI), end-stage liver disease (ESLD), and end-stage renal disease (ESRD).

Prevention of cigarette smoking would avoid 24% of non–AIDS defining cancers and 37% of MIs. Preventing elevation of total cholesterol would forestall 44% of MIs and 22% of ESRD. Prevention of hypertension would avert 42% of MIs and 39% of ESRD, and prevention of hepatitis B virus and hepa…

Reviewing Author

Wendy S. Armstrong, MD

Disclosures

Consultant/Advisory BoardNIH Therapeutics and Prevention Data Safety Monitoring Board

Leadership Positions in Professional SocietiesAmerican Board of Internal Medicine Infectious Diseases Subspecialty Board (member), Infectious Diseases Society of America (Vice President)

Wendy S. Armstrong, MD

Disclosures

Consultant/Advisory BoardNIH Therapeutics and Prevention Data Safety Monitoring Board

Leadership Positions in Professional SocietiesAmerican Board of Internal Medicine Infectious Diseases Subspecialty Board (member), Infectious Diseases Society of America (Vice President)

Effective Preventive Care Is Essential for Persons Living with HIV

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Reviewing Author